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<title>IITFMS</title>
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<body class="oneColFixCtr">

<div id="container">
  <p> &nbsp; &nbsp;<img src="css/FMS banner.png" width="549" height="100" /></p>
  <div id="mainContent">
    <h2>MISO FORM 2 &lt;PROMISSORY NOTE&gt;</h2>
    ----------------------------------------------------------------------------------------------------------------------------------------------------<br />
    
    <form wicket:id="editForm2" name="Promissory Note" method="post" action="">
     
      <p>
        <label><span><br /> 
          &nbsp;Promissory No. 
          <input type="text" name="promissoryNo" wicket:id="promissoryNo" size="10" />
          <br />
          <br /> 
          &nbsp;
          Date 
          <input type="text" name="date" wicket:id="date" />
          <br />
 	  &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br />
 	  <br /> 
      &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp;  I promise to pay the 
      <input type="text" name="amount" wicket:id="amount" />
      &nbsp;for the 
      <input type="text" name="semester" wicket:id="semester" />
      &nbsp; semester,<br /> 
      <br />
      &nbsp; &nbsp; &nbsp;  School Year 
      <input type="text" name="sy" wicket:id="sy" />
      &nbsp; &nbsp; on or before  &nbsp; 
      <input type="text" name="dueDate" wicket:id="dueDate" />
      .<br />
      <br />
      <br />
      <br />
       &nbsp; &nbsp; &nbsp;Name&nbsp;
       <input type="text" name="name" wicket:id="name" size="35"/>
       
       <br />
       <br />
  &nbsp; &nbsp;   Course      
  <input type="text" name="course" wicket:id="course" /> 
       &nbsp; &nbsp; &nbsp; &nbsp; 
        Year Level</span></label>
        <label>
        <select wicket:id="year">	
            <option value="1" >1</option>
            <option value="2">2</option>
            <option value="3" >3</option>
            <option value="4">4</option>
            <option value="5">5</option>
          </select>
        </label>
      </p>
      <p>&nbsp; &nbsp;  Witness  
        <input type="text" name="witness" wicket:id="witness" size="35"/>
      </p>     
      <input class="button" type="submit" value="add" wicket:id="add"/> 
      <p>&nbsp;</p>
      <p>&nbsp;</p>
    </form>
    <center> 
    <h2>&nbsp;</h2></center>
  </div>
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